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HomeMy WebLinkAbout065-174-012V Gerald C -`.., 5-174-12 ross ; + /S Woodward Ave:#Vp.200'E.of .WoodDr., lot#406', Fir Haven Sub, . Magalia � rmit #38- 7P,E(util.,MH)S- ELEC. UPP ST UCTURE REQ.p + "OMP � TION TEST RE mid t 65-174-12 contr.:Higge Const.-, Magalia Perdt#k427 ssued tug Ot e 65m174-1' l� E. SHELiNE �jG� . ��a�"�� ± 6513 Woodward Drive, Magalia ontr: 'H;Don Darby, .._. ._�. • '' 1 s Maga lia' _... • Permit#1615-84B',E(new private garage)MH y F� J + • i • 1 r , .t Fi i' PERMIT NO. 1615-84B,E -PERMIT EXPIRES OWNER E, SHELINE CONTR.. H.• Don Darby, Magalia ASSESSOR PARCEL 65-174-12 LOCATION 6.13 Woodward Drive, Magalia -4� i 1 1 Temp. Power Pole Called PG&E {. .. Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E JOB FINALED (Date) Signature V = OK 0 = Not OK = Not Applicable MOBILEHOMES * = Not Ready •t MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements—Setbacks—Easements 2, Soils; Special MH Support—Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements 2. Footings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Alum. Awn.; Columns--Connections—Splice—Decal—Enclosures 6. Gas; LocatiorrTest—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. — Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1, Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval 7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 9. Exits; Insp.—Sketch 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 10, Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) � - , R r Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) oning requirements -Setbacks -Easements 49 -'Property Line Firewall & Openings 2. Ftq., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth . Doors -One 3' -Check Garage -3rd story, 2 exits Ae'Ftg., Garage; Soils -Steel- //-Z/;Ftg. Depth idf -Headroom=Rise-Run-Landing-Fire Protection 4. Fig., Porches & Decks; Soils -Steel- / • /" Ftg. Depth ICL-,P+ywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab emwalls, Garage; S16eKBlockouts-Wrapped-Slab iding-Nailing-Veneer -60. BtUCC610 sh-Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel S4r-61ae4Rq-ArMa-Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors -60.--Shear9Paa)s; Nailing -Bolts 10. Water Pipe; Test-Anchors-Regulator-Seryice Test lectric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -B Date ,- ,�Iand-BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date z.-11- Card -BI Date Date FINAL -(-Plans) OK except #'s Card -BI Date Card -BI Date Date PLUMBING (Permit) OK ex ept #'s Ext. Steps -Door & Sidelight Protection -Landings -57-`6mok2-Detector 14. Water Ht.; Vent- Acc s -Combustion Air .6 FUw^acarVents-Clearance-Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & nchors-Nail Protection 16. D.W.V.; Test -Fit s & Anchors -Nail Protection 59---Sedmom Exiting 17. Shower Pan; Tes ,First Floor -Tub Access Xn r. EPe B-ath Fixtures & Tub Access 18. Test Tub & Shq6er, 2nd Floor -Tub Access ac. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Si &Anchors "Rails love; Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date A. Mance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s sz94re Door; Swing -Landing -Closer 6& A r n, c :;�-Gara a -Dam er 20. 21, Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights &Switches at Doors Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 22. Size Boxes & No. of Conductors -Stapled 78_-R4b,-E4ec. & Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. c. Receptacles in Garage; G. �e p 9 ( Fz�,yR6me 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 12 --htsvtaftn-Foam-Looked in Attic ❑ Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size :6--eum*+,ails & Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At .�--�&nts & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor El Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral ❑Yes ❑No a nstid.: Drive E] Yes E) No; Walks E] Yes C] No; Planters E) Yes ❑No er 28. Service -Riser Conductors & Ground -Main Disconnect 7 grown -Finish 29. 30. Equip. Clearances; Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light it; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Z8 vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79_Wa4ar_W.ell; Disconnect, Electrical, Plumbing 8n &Rte- = -F.lec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date .ion throughout House -92- rlasc Protection Card B I Date Card -J31 Date Date MECHANICAL (Permit) OKcept #'s m Previous Inspections Beat -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulatio & Support (};z..JNaLOF&-Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust ove Insulation 86_--6saeFgy-Eemp1iance Certificate -Other Certificates 33. Condensate Drai 0Overflow; Size & Grade 34. Furnace -Vent ccess -Comb . Air -Return Air Vent -115V outlet 35. Attic Acces & Platform if Furnace in Attic Card-BIDate --- Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FRAMING Plans OK except #'s Card -BI 1j Date Card -BI Date Comments at Final: ' 96 ills; Proper Material & Anchors alls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38...-Elearing Walls over Girders & Floor Nailing 39. DrgjLStop in Walls (rat proof) 40. Fire Sto s; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing Post Caps -Anchors -Connectors ng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfn_g_. -44.-i-ke0eee Ties or Type A Flue -Fireplace Throat 46r-Rtft-7kmss; Size & Romex Protection -Draft Stop -Ins. Baffles 46-.Bdfw-Windows or Exiting Doors -Sill Hgt. & Dimensions ire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 l� APPLICATLON AND. PERMITAA BER ASSESSOR PARC�LL//66 ��- ZONING BUILDING PERMIT OWNER x .. 5/ �P671-J 7 V � - TELEPHONE SQ. FT. OCC. BUILDING VALUATION O OWNER'S MAIL NG ADDRESS CONTRACT R'S NME TELEP ONE CONT ACTOR'S MAILING ADDRESS Z Fireplace CONSTRUCTIOP LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 72, 11 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADD ESS Permit fee $ 7 2 � BUILDING ADDRESS PLUMBING PERMIT9 Filin Fee 10.00 Each Trap 2.00 Solar Water Heiler 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water ater or vent 5.00 Gas piping syste 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi Iehome.er*,Other SPECIFY Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New ❑ Addition ❑ Re del ❑ Utilities ❑ Installation[] Other [ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OC OR ADDNS. ACC. BLDGS. I / v 2h2sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business20@50C and Professions Code and my license is in full force and effect. J '7 License No.,%2 / �� Classification "— / ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NNEW ON.RESID R BRANCH CIRCUITS)2.50 ea NEW CONSTR POWER APPARATUS &' NON-RESID. (SINGLE OUTLET CIR. Ex. Occup(ouTLETs OR FIXTURES BAL®ao FIXED APPLNS, OR Ex. QCCUp. OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said Cou in conse ce of he granting of this permit. X�--r�,�—�/i �te Signature of Applicant — Owner C ator Agent ❑ Elrrao An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ p OCCUP. GROUP I TYPE OF CONST. PARCEL PD MD 55 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY P IT EXPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS Dated_"(�3(� S !/ I V Receipt No. L / WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT NO. 38-77P,E; PERMIT EXPIRES , • r OWNER Gerald_Cross ' CONTR. Owner LOCATION (A.P. 65-174-12 N/S Woodward Ave.,app.200'E.of Wood Dr., lot 406, Fir Haven Sub, Magalia t. J �ppTTrr . it Temp. Power Pole Called PSG&E Temp. Elec. Serv. % Cald-e*d PG&E Temp. Gas' Serv. Called PG&E ,los 3 -7 7 FINALED (Dat (Signat V COUNTY OF BUTTE — DEPARTMENT OF 'PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall 'Siding To out Slab Roof Sheathing Water Piping -1-%% Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicaped Conformance of ex. structure Appliances Gas Pi in &Test i -2 Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service " o / — Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS i J (NOTE: An entry must be made on this form each time you visit the job site.) i • tiOt3T!,l?IiO�ils" D1 S'1'ALLATION INSPECTION CHECK LIST 1. Is the mobilehome 1oc;�tcd w'. required separation from lot lines and buildings and generally' conform to plot plan? Yes No 2. Doc;; the mi?bil.ehome have required clearances above ground? (Sec.5085) YesY. No S 3. Are foot:i.nq,s and suPpnrts properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.).(Sec. 5082 & 5083) Yes No 4. Is the mobilehome level?. (Sec. 5088) Yes_:�NNo+ 5. If'more than a'single unit, are crossover connections properly installed? (Sec. 5088) Yes No 5, Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) YesNo B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yeo No C. Backflow - If coach is not Sta e of California approved, does station have backflow device and pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum ," per foot slope and is it properly supported? Yesy No C. Are any leaks detected in drainage system after runnin 3;gallons of water through each fixture including washing machine standpipe? Yes No D. If coach is no State of California approved, does station have required trap and vent? Yes No 8.Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with'an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note:.: All -piping is to be at least as large as the mob i; home gas line inlet without reductions other than the mobilehome connector. Yes o B. Test OK as per following'procedure? Yes% No 1. Open all appliance connector valves.7, • ' 2. Shut off appliance burner and pilot valves. 3. Air test with .manometer to 10"-14" water column, or test with slope gauge (minimum 6bz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect: gas meter to mobilehome with connector, turn. on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes—)60_ r 9. Electrical A. Is sei-vice large enollgl. to provide ,:uiequat-_e amperage to mobilcllome (must equal rating of nuabilehome (aitk a-,ni,ih-um of 100 amp). anal other faciliti_Eis on lot, i.e., water pumps, grae, ca�na, No N_ B. Is them proper clearances around panels? YesX No C. Is power supply cord or feeder assembly properly fused? Yes Nd_ D Is continuity test satisfactory. as per the following procedure? Y,esNo__ 1. De -energize electrical-ui.ring systeri of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4., Connect one l,aad of a test instrument to the mobilehome grounding conductor and apply i y the oi.ile lead to each wo,L.L—,ellUlile siipYiy con.iLictor, iliclujivig neuLrai. 5. All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line, iter line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of: 1:11e above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further. continuity te:;t shall then be niade between the grounding electrode and the chassis of the cloi)ilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. Ts Job card si-ned by Health Departmeat for water and sanitation? ll.. If everything (A ay, sign off card and tag services. MOBTLEI'MML DATA n manufacturer and/or Namest:yle C.,- &__ length COO Width Vehicle Serial No. ?©-1 ! Y State Identification No. 317 7 _ 3 L7! 7�`_ r.de,l i t Tonal Informa.t: i on or Comments: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25. Chapter 5, under permit number 41 � �'- 7 "� for the following location: G Owner » l c Owner's Address Mobilehome Mfg. Model Year/ Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works �r Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED I I .,COUNTY OF BUTTE. — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. XA;_-V1"1/// - Date 5' nature o er e/Jr Agent Receipt No. J[2v` White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. ((DIRECTOR OF PUBLIC WORKS 1100, ByDate- permit expires Date Z-�� BUILDING Owner �� �S SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor G—d Total Valuation Mailing Address s Permit Fee Plan Checking Fee &/or Penalty No. ll Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 S _ ;�(a0 Each Trap 1 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 csL—� Each gas water heater or vent 1.50 A. P. 7y / Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W, C. Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P/ 60' R/W Improvements provements Lawn sprinkler system 2.00 Bldg. Plans Recd 9• Parcel A rel pp Plans A pproval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No.1 @ FEE PERMIT FILING FEE. $3.00 Main service 100 AMP OR001 OR LESS5.00 " Main service EA. ADD•L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service 1100EAMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW CONS.OR ADDNST ( DACCLBLDGWELING OCCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 12.50ea NEW CONSTR. (POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name Style o S� -(/L� Ex. Occup(OUTLETS OR FIXTURES) @�2 BAL@1 Ex. Occup (FIXED APP LNS, OR • OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. ,l / �}9 �i Classification �P%3 Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 1:1 I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby �d` L TOTAL PERMIT FEE authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. XA;_-V1"1/// - Date 5' nature o er e/Jr Agent Receipt No. J[2v` White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. ((DIRECTOR OF PUBLIC WORKS 1100, ByDate- permit expires Date Z-�� MOBILEHOME SUPPORT DATA Mobilehome Mfr.��y -) tup Model No. Year 0 ' Width a4 (ft.) Lengthy_ (ft.) Expando Size ft.x ft. (Draw support -details below) on )all mobilehomes manufactured after October 7, 1973, furnish manufacturer's'installation ma al andtstructural setup sheets. (if not.on .file with the County of Butte).. r - Sin le - Footings--(check,one) 1. Wood.'either ,. pressure treated or Ceiiter Center Support fdn.. grade, ` Support Footing Sizes �- Location (in.) ,/'j 2. Concrete pad. gin gi 3. Other,: specify Supports-(check,one) 7W 1. Concrete block x 2. Concrete piers 3. Steel piers }4. Other, specify 1"-- — Al -- Typical Support 9 l i I X Footing Size i .)(in.) , � 1 Max. Pier Spacing. n t. .) ,ft. in.); n,) (in.) in.) MaX. * Overhang _ SS �If center piers are other than drawn above, draw in locations, spacing, ^and dimensions. BUTTE COUNTY BUILDING DEPARTMENT APPROV.,E® O �r BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: Le ,*?//A /d AO , 2. cU ' Installer's name: 5t1IA 3. Is the site currently under permit? Yes/ / No 2 ( If yes, furnish permit number OR Is the site an existing site? Yes / / No 777— /(If (If yes, furnish two (2) plot plans.) Will the mobilehome be located at least 5 -ft. away from septic tank and leach fields and clear -of all setbacks and easements? Yes 71177 No ( If no, clarify. ) 5. What is the mobilehome electrical rating? ----------------------- �/) Amps 6. What is,the mobilehome site service,.rating?--------------------- Amps 7. What is the mobilehome site circuit breaker rating? ----=-------- /��_ Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- .Yes / / No (If yes,- identify the load and size: (Load) (Amps) A/ 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural / / LPG 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What,is the mobilehome gas demand? -----------------------------= (BTU) (This information not required if pipe length less than 6 ft. on natural 'gas or less -than 50. ft. on LPG.) COUNTY OF BUTTE — ``DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT icNicacnwuvca UI t"e UOUnly UI multe IU enter upon the above-mentioned property for_jpection purposes. n X � 124d4--o'Date Signature of ermiitee or Agent Receipt No. S6 a -0F White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR F P BLIC WORKS BY f Dateiermit expires Date—�/" BUILDING Owner ��r L d L+ yo c r SQ. FT. OCC. BUILDING VALUATION Mailing Address IR T - Telephone No. 7— o S—( or Fireplace Contractor Total Valuation Mailing Address All e__°�� Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee Building AddressPLUMBING ® IWD©d kl.v rci i}Y� No. @ FEE PERMIT FILING FEE $3.00 3,00 'rte 00, D F W 0 d +r. Each Trap 1.50 A L,i R Repair drainage or vent piping 1.50 mon V 'ertfice ✓ S`ub. 110 7— J . 49 dv` /oo" Water piping <Cgg 1®, AO Each gas water heater or vent 1.50 A. P. N . — / 7 — / j — Zonin Gas piping system 1 - 5 outlets i -W /0- 06 Each additional outlet .30 F s C. Sa i ' n Fire Dept. I FireZone Use Permit Building sewer ! /0-00 EQA I Parking Plans Declaration I Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bld Plans Recd 9• `/ Porcel I pp Pio ppro vat Permit Fee f�� 1 1 33 C NEWADDITION ❑ ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 Main service 100 AMP ORSLESS 5.00 S .Ott Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home C, Others ❑ Main service R 600V 1100EAMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 00 MINIMUM NEW CONST.DWELLING OCCUP. & OR ADDNS. ( ACC. BLDGS. 20sgft NEW CONSTR.I. MULTI.OUTLET NON-RESID. BRANCH CIRCUITS) 2.50ea - EOR MOBILES NEW CON STR (POWER APPARATUS & NON.R ESI D. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)@tea IOU Ex. OCcu FIXED APPLNS. OR P•(0 WETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of Cal ifomia. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. Elhave placed on file with the County of Butte a certificate of 'workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ -J V.1 $ O6 TOTAL PERMIT FEE $ 1:3 &Z icNicacnwuvca UI t"e UOUnly UI multe IU enter upon the above-mentioned property for_jpection purposes. n X � 124d4--o'Date Signature of ermiitee or Agent Receipt No. S6 a -0F White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR F P BLIC WORKS BY f Dateiermit expires Date—�/" x'41 -„iib K �.!-11 W` -oat:. J1146h'JIe..U -0-J { Ali -W bflani and spec�fitatinns 1 '-- I -� I ori the'e-jog vniovft u S �J • 4 }� I + I _ ,i - at!all lime{s •arid itis to i { lkep mAnkieay i-�nps pr iter tions. olj satng s%vitlt ut f ,� '�.. x,441.. ! 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